6. Citizenship/Immigration Status .6. Citizenship/Immigration Status 6.3 Verification ... provided

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    6. Citizenship/Immigration Status

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    6. Citizenship/Immigration Status

    If all other eligibility requirements are met, citizenship or immigration status determines the level of Medi-Cal (MC) benefits the client is eligible for; restricted-scope MC or full-scope MC.

    6.0.1 Scope of Coverage

    Full-scope MC Benefits

    Individuals declaring United States (U.S.) citizenship, Legal Permanent Resident status and/or children under 19 years old status who meet all other eligibility requirements are eligible for full-scope MC benefits.

    Restricted-scope MC Benefits

    Individuals who do not provide proof of U.S. Citizenship, who have legal temporary resident status or who are undocumented who meet all other eligibility requirements are eligible for restricted-scope MC benefits.

    ised: 10/03/2017 Update #17-37

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    6. Citizenship/Immigration Status6.1 Status/Medi-Cal Entitlement Chart

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    6.1 Status/Medi-Cal Entitlement ChartTable 1: Citizenship/Immigration Scope of Coverage

    Status EAD Code Required VerificationMedi-Cal Eligibility

    Covered California Eligibility

    APTC CSR QHP

    U.S. Citizen Clients statement, birth Certificate or naturalization papers

    Full-scope Yes Yes Yes

    Lawfully Permanent Resident (LPR)

    USCIS Form I-551, earlier Forms I-151, AR-3, and AR-3a (Alien Registration Receipt Card).NOTE: IRCA aliens with an I-551 have one of the following class codes: R16, R26, S16, S26, W16, W26, W36.Foreign passport stamped with evidence of lawful permanent residence is valid until I-551 received. If more than one year since date of entry or date is expired or date is blank:

    1. Ask for I-551, or

    2. A Secondary SAVE.

    Full-scope Yes Yes Yes

    Asylee A5 I-94 with stamp showing Section 208 or 208(a) of the INA

    I-94 with VISA 93 (or V-93)

    I-94 with AS-1, AS-2, or AS-3

    I-688B annotated with 274a.12(a)(5)

    I-766 annotated A5

    Grant letter from USCIS or Asylum Office

    Order of an immigration judge granting asylum under INA Section 208

    Full-scope Yes Yes Yes

    Asylum Applicant C08 I-94 annotated as asylum applicant/I-589 applicant. Application for asylum still pending.

    Restricted-scope

    Yes Yes Yes

    Children under the age 19

    none (or expired documentation) Full-scope * * *

    ised: 10/03/2017 Update #17-37

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    6. Citizenship/Immigration Status6.1 Status/Medi-Cal Entitlement Chart

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    [Refer to Chapter 10, "Immigration]; [Refer to Chapter 11, "Noncitizen Categories]; [Refer to Chapter 12, "United States Citizenship and Immigrant Status (USCIS) Codes]; and [Refer to Chapter 13, "Immigration Documents], for complete non-citizen information.

    Citizen of Micronesia, the Marshall Islands, and Palau

    A8 permanent nonimmigrants should have an Arrival-Departure Record, USCIS Form I-94, annotated either CFA/FSM or CFA/MIS

    Restricted-scope

    Yes Yes Yes

    Documented client claiming PRUCOL (Category 1-15)

    MC 13 and/or Satisfactory Immigration Documentation (i.e. DACA, Temporary Protected Status, etc.)

    * * * *

    Lawful temporary resident

    A2 I-94 (Noted with any letter A-L) Restricted-scope

    Yes Yes Yes

    Non-citizen has applied for adjustment to permanent status

    C9 I-181A, Notice to non-citizen from USCIS. Application for LPR status has been accepted as properly - filed.

    Restricted-scope

    Yes Yes Yes

    Non-citizen's request for adjustment to permanent status has been approved

    I-181B, Notice to Alien from USCIS. Granted LPR status and will be issued an USCIS Form I-551.

    Full-scope Yes Yes Yes

    Refugee/Entrant/ Parolee lawfully admitted with I-94 or I-945(Must not have letter A-L)

    A4 I-94 annotated with conditional entry; political asylum, refugee, parolee.

    Full-scope Yes Yes Yes

    Survivors of Human trafficking

    A16 T Visa, T Visa Applicant, intent to file for T Visa

    Full-scope Yes Yes Yes

    Survivors of Serious Crime

    A19 U Visa, U Visa Applicant Full-scope Yes Yes Yes

    Undocumented Immigrant

    None Restricted-scope

    No No No

    Undocumented Immigrant claiming PRUCOL (Category 16)

    MC 13 Full-scope No No No

    Visitors, students, Temporary Visas

    Temporary unexpired visa, foreign passport

    Restricted-scope

    Yes Yes Yes

    * Potentially Eligible, case specific information is required to determine eligibility, Secondary SAVE may also be required.

    Table 1: Citizenship/Immigration Scope of Coverage

    Status EAD Code Required VerificationMedi-Cal Eligibility

    Covered California Eligibility

    APTC CSR QHP

    ised: 10/03/2017 Update #17-37

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    6. Citizenship/Immigration Status6.2 U.S. Citizens

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    6.2 U.S. Citizens

    U.S. citizenship is granted to:

    U.S Born Citizens and Nationals, including individuals born in:

    Any of the 50 states in the United States, District of Columbia, Puerto Rico, Guam, Virgin Islands of the U.S. (St. John, St. Croix and St. Thomas) American Samoa Swain's Island Commonwealth of the Northern Mariana Islands

    Naturalized Citizens, including individuals born in another country who have met the U.S. residency requirements and have filed for an application to be naturalized U.S. citizens. Naturalized U.S. citizens typically obtained a legal permanent immigration status prior to naturalization.

    Foreign-born children, under age 18, residing in the U.S. with their birth or adoptive parents, at least one of whom is a U.S. citizen by birth or naturalization;

    Derived Citizens, certain individuals may have derived their U.S. citizenship as children prior to their 18th birthday because one or both of their parents became citizens through naturalization.

    Acquired Citizens, individuals born in another country to U.S. citizen parent(s) may ACQUIRE U.S. citizenship by filing an application at USCIS.

    Persons with derived or acquired citizenship should present originals of one of the following documents:

    A Certificate of United States Citizenship (USCIS Form N-560).

    A United States Citizen Identification Card (USCIS Form I-197). (Not issued since February, l981.)

    An Identification Card for the Use of Resident Citizen in the United States (USCIS Form I-179). (Last issued in February, 1974.)

    A Northern Mariana Identification Card issued by USCIS to persons born in the Northern Mariana Islands before November 3, 1986 who are now U.S. citizens.

    A letter, on USCIS stationery, written by an USCIS official, which states that a foreign-born woman who married a U.S. citizen before September 22, 1922 thereby automatically became a U.S. citizen herself.

    ised: 10/03/2017 Update #17-37

    http://www.coveredca.com/http://www.coveredca.com/http://www.dhcs.ca.gov/Pages/default.aspxhttp://www.dhcs.ca.gov/individuals/Pages/MHPContactList.aspx

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    6. Citizenship/Immigration Status6.2 U.S. Citizens

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    A valid U.S. Passport issued by the Department of State.

    A Report of Birth: Child Born Abroad of American Parent or Parents (Dept. of State Form FS-240) issued by U.S. embassies and consulates to United States citizens born abroad.

    A Certification of Birth Abroad (Dept. of State Form FS-545) issued by U.S. embassies and consulates to United States citizens born abroad.

    A Certification of Birth Abroad (Dept. of State Form DS-1350) issued to United States citizens born abroad.

    No Documentation

    Persons who believe that they qualify for derived or acquired citizenship should contact either the passport office or their District USCIS office:

    Passport Office of the U.S. Department of State 525 Market St.San Francisco, CA 94105

    Immigration and Naturalization Service 630 Sansome St.San Francisco, CA 94111

    Reminder:

    Foreign born children of U.S. citizens must apply to USCIS or to the Department of State for approval and documents. U.S. citizenship is not automatic. Persons who lack documentation may not have applied for or may not have been granted citizenship. Adoptive parents must also apply to USCIS for naturalization of their adopted child.

    Citizenship Verification for Aged Persons

    Citizenship records for aged individuals may no longer be available (especially if they entered the U.S. before USCIS was established in 1924).These individuals must be referred to USCIS for documentation.

    Verification that USCIS conducted a search of its records and the outcome of the search must be scanned in the case record when other documentation is not available. Scan a copy in IDM. No further action is required from the Eligibility Worker (EW).

    ised: 10/03/2017 Update #17-37

    http://www.vitalrec.com/

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    6. Citizenship/Immigration Status6.3 Verification Requirements for U.S. Citizens

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    6.3 Verification Requirements for U.S. Citizens

    The federal Deficit Reduction Act of 2005 (DRA) requires U.S. Citizens and U.S. Nationals to provide proof of citizenship and identity as a condition of eligibility for states to receive federal funding. The DRA requirements do not apply to individuals receiving State-only MC benefits.

    6.3.1 Verification of U.S. Citizenship and Identity

    Acceptable verification of citizenship status and identity must be obtained for all non-exempt U.S. citizens/U.S. national applicants and clients. If verification from the Federal Data Services Hub (Federal Hub) or MEDS can be obtained, no other verification is required from the client. [Refer to Federal Data Services Hub, section 18.5]

    Note:

    Children born in the U.S. to foreign sovereigns or diplomatic offic